Luigi Manili

Clinical Manifestations in Patients on Chronic Dialysis with High Titres of ANCA

Eight untreated patients with an apparent renal-limited disease continued to maintain high titres of ANCA long after the onset of the disease and the start of dialysis. In spite of the high ANCA titres, three of them remained for a long time free of symptoms related to the disease. Three pts developed, at various times from the beginning of the disease, fatal pulmonary hemorrhages.

Does penetration of peritoneal dialysis have a cutoff? How to overcome it?

At the dialysis center of Brescia, with experience in peritoneal dialysis (PD) of more than 30 years, the incidence of PD is 35%. Despite this, the prevalence of PD has an apparently fixed cutoff at about 80 patients. This short paper synthesizes some possible solutions to increase penetration of PD.

Primary malfunction of a peritoneal dialysis catheter because of encasement in a hemorrhagic corpus luteum.

10. de Vin F, Rutherford P, Faict D. Intraperitoneal administration of drugs in peritoneal dialysis patients: a review of compatibility and guidance for clinical use. Perit Dial Int 2009; 29:5–15. 11. James MT, Conley J, Tonelli M, Manns BJ, MacRae J, Hemmelgarn BR. Meta-analysis: antibiotics for prophylaxis against hemodialysis catheter-related infections. Ann Intern Med 2008; 148:596–605. doi:10.3747/PDI.2010.00147